中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (22): 4113-4114.doi: 10.3969/j.issn.1673-8225.2010.22.031

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

钢板置入内固定治疗四肢长骨骨折的特点

肖  敏，张  强   

  1. 盘锦市大洼县第一人民医院骨二科，辽宁省大洼县      124200
  • 出版日期:2010-05-28 发布日期:2010-05-28
  • 作者简介:肖 敏，男，1960年生，辽宁省盘锦市人，汉族，中国医科大学临床本科在读，主任，主要从事创伤骨科医疗工作。 zhangqiang007_8@sina.com

Plate internal fixation for limbs fractures

 Xiao Min, Zhang Qiang   

  1. Second Department of Orthopedics, Dawa First People’s Hospital, Panjin  124200, Liaoning Province, China
  • Online:2010-05-28 Published:2010-05-28
  • About author:Xiao Min, Second Department of Orthopedics, Dawa First People’s Hospital, Panjin 124200, Liaoning Province, China zhangqiang007_8@sina.com

PDF

387

被引次数

12

摘要：

目的：探讨钢板置入内固定治疗四肢骨折的应用效果及注意事项，以期对四肢骨折的治疗有所启示。
方法：由第一作者采用电子检索的方式，在中国期刊全文数据库(CNKI：2002/2009)及Medline 数据库(Pubmed: 2004/2007)中检索有关钢板置入内固定治疗四肢骨折的文章，检索词为“四肢骨折，钢板，内固定”。排除较陈旧的文章及重复性研究，共纳入符合标准的文献8篇。
结果：四肢骨折的治疗方案应根据患者的年龄，一般状况、骨折的部位、局部软组织的情况、患者的要求等情况具体选定，即使同一部位的骨折也有不同的治疗方案，这种选择是个性化的。要充分理解钢板置入内固定与骨折愈合生物学特性的辨证关系，重视恢复骨骼连续性和完整性，掌握钢板内固定置入技术的技巧，保护骨折端周围的血液供应，权衡钢板张力侧固定与局部软组织条件的关系。
结论：骨折钢板内固定置入过程中有很多可造成失败的隐患存在，再处理时应对骨折端情况做综合评价。钢板内固定应把握相关原则，重视技巧，以符合骨折愈合生物学特性的方法处理骨折端。康复期内遵照循序渐进的原则，重视随访。

关键词: 钢板, 内固定, 四肢骨折, 硬组织植入物, 康复

Abstract:

OBJECTIVE: To explore the effect and announcements of plate internal fixation for limbs fractures to help fracture treatment.
METHODS: A computer-based online search of CNKI (2002/2009) and Medline database (Pubmed: 2004/2007) was performed for articles related to limbs fractures with the key words “limb fracture, plate, internal fixation”. Outdated articles and repetitive studies were excluded. A total of 8 articles were included.
RESULTS: The treatment regimen of limb fractures is selected according to patient age, general condition, fracture site, local soft tissue condition, and patient requirements. Therefore, individualized regimen is needed. In addition, it is important to understand the biological features of plate implantation and fracture healing, skeleton continuity and integrity, fixation skills, protect blood supply around fracture ends, and consider the position relationship between plate fixation and local soft tissue. 
CONCLUSION: There are many factors that lead to failure of plate internal fixation for fractures. Plate internal fixation should be performed according to related principles and skills to treat fracture ends in accordance with fracture healing biological features. In addition, step-by-step rehabilitation and follow-up are important.

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